Therapists in Sarpy County, NE

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Photo of Talia Placzek, Counselor in Sarpy County, NE
Talia Placzek
Counselor, MS, LMHP
Verified Verified
Papillion, NE 68046
I strongly believe in building therapeutic relationships that cultivate an environment of trust and honesty. By utilizing Cognitive and Dialectical Behavioral therapies in combination with a person-centered approach, I can challenge and support patients by developing effective coping strategies, mood regulation techniques and the ability to gain control of impulses. Working both independently and on specialized teams to train and implement strategies for supporting staff of developmentally disabled individuals, these techniques have become the cornerstone of my practice.
I strongly believe in building therapeutic relationships that cultivate an environment of trust and honesty. By utilizing Cognitive and Dialectical Behavioral therapies in combination with a person-centered approach, I can challenge and support patients by developing effective coping strategies, mood regulation techniques and the ability to gain control of impulses. Working both independently and on specialized teams to train and implement strategies for supporting staff of developmentally disabled individuals, these techniques have become the cornerstone of my practice.
(531) 214-1065 View (531) 214-1065
Photo of Laura Sanchez, Clinical Social Work/Therapist in Sarpy County, NE
Laura Sanchez
Clinical Social Work/Therapist, LIMHP, LICSW, LADC
Verified Verified
Bellevue, NE 68005
Waitlist for new clients
I provide services to individuals with an open heart and open mind. I base our work on where you are mentally and emotionally. Together we examine past traumas and current stressors to begin to understand why sometimes we get to a place we never thought we would be. With an emphasis on positive psychology and learning to identify and grow strengths, we begin the healing process. Because an essential aspect of therapy is rapport with your therapist, I spend time growing trust a deeper understanding with each client. I will challenge you but also provide support, encouragement, and empathy when needed.
I provide services to individuals with an open heart and open mind. I base our work on where you are mentally and emotionally. Together we examine past traumas and current stressors to begin to understand why sometimes we get to a place we never thought we would be. With an emphasis on positive psychology and learning to identify and grow strengths, we begin the healing process. Because an essential aspect of therapy is rapport with your therapist, I spend time growing trust a deeper understanding with each client. I will challenge you but also provide support, encouragement, and empathy when needed.
(402) 807-5117 View (402) 807-5117
Photo of Tachelle Reeker, Counselor in Sarpy County, NE
Tachelle Reeker
Counselor, MS, LIMHP, PLADC
Verified Verified
2 Endorsed
La Vista, NE 68128
Do you often find yourself going back and forth about making a change in your head? Is part of you wanting to make that change and part of you not feeling sure or quite ready yet? This is all part of the change process, and you are probably further along than you realize! Sometimes a new perspective and new tools can help us "get off the seesaw" and get closer to the life we want to have. I often see clients who are dealing with trauma, substance use, anxiety, or depression. I work to build a space of non-judgment and acceptance so my clients can be seen exactly as they are without fear, so we can find the path forward together.
Do you often find yourself going back and forth about making a change in your head? Is part of you wanting to make that change and part of you not feeling sure or quite ready yet? This is all part of the change process, and you are probably further along than you realize! Sometimes a new perspective and new tools can help us "get off the seesaw" and get closer to the life we want to have. I often see clients who are dealing with trauma, substance use, anxiety, or depression. I work to build a space of non-judgment and acceptance so my clients can be seen exactly as they are without fear, so we can find the path forward together.
(402) 382-2465 View (402) 382-2465
Photo of Katherine (Kitty) Eisenbeil, Marriage & Family Therapist in Sarpy County, NE
Katherine (Kitty) Eisenbeil
Marriage & Family Therapist, LMFT, LIMHP, MA
Verified Verified
Bellevue, NE 68005
Sometimes we hit a point in our lives when we are unsure of where to go, what we want or what we need. We feel emotionally drained and need support and encouragement to move forward. Therapy is about learning how and when to make changes in your life. Focused on addressing physical and mental challenges, I strive to provide client-focused therapy that fits your needs. I will meet you where you are and provide you with the encouragement and skills you need to make the changes you want in your own life. I am licensed in Texas, Nebraska, Iowa and Colorado and able to provide telehealth (anyone) or in-person counseling (in NE).
Sometimes we hit a point in our lives when we are unsure of where to go, what we want or what we need. We feel emotionally drained and need support and encouragement to move forward. Therapy is about learning how and when to make changes in your life. Focused on addressing physical and mental challenges, I strive to provide client-focused therapy that fits your needs. I will meet you where you are and provide you with the encouragement and skills you need to make the changes you want in your own life. I am licensed in Texas, Nebraska, Iowa and Colorado and able to provide telehealth (anyone) or in-person counseling (in NE).
(402) 603-6394 View (402) 603-6394
Photo of Kimberly Wittmeier, Counselor in Sarpy County, NE
Kimberly Wittmeier
Counselor, LIMHP, LPC, NCC
Verified Verified
Papillion, NE 68046
Waitlist for new clients
Throughout our journey in life, we endure countless challenges, hardships, and the list is endless. During these times in our life, we may encounter the inability to see the light at the end of the tunnel, repair the broken pieces, and feel as though we have nowhere or no-one to turn to. My perspective is that throughout our journey in life, each of us have internal tools to make changes, heal, prosper, to recognize the strengths, potential, and growth that we are all capable of and deserve. I firmly believe in a person-centered approach, where acceptance, understanding, and empathy are the foundation of therapy.
Throughout our journey in life, we endure countless challenges, hardships, and the list is endless. During these times in our life, we may encounter the inability to see the light at the end of the tunnel, repair the broken pieces, and feel as though we have nowhere or no-one to turn to. My perspective is that throughout our journey in life, each of us have internal tools to make changes, heal, prosper, to recognize the strengths, potential, and growth that we are all capable of and deserve. I firmly believe in a person-centered approach, where acceptance, understanding, and empathy are the foundation of therapy.
(402) 628-7880 View (402) 628-7880
Photo of Peggy Dineen, Counselor in Sarpy County, NE
Peggy Dineen
Counselor, MS, LIMHP
Verified Verified
1 Endorsed
La Vista, NE 68128
Life is a journey in which we learn from our past, live for today, and hope for tomorrow. As a therapist I strive to provide you, your child, and/or family quality service in order to help you achieve your goals in life. I will work with you in a way that builds on your strengths and potential, and challenges you to take your life to the next level. I believe the most productive therapy environment is one of mutual trust, respect, and collaboration. My approach is challenging and direct, yet compassionate and caring.
Life is a journey in which we learn from our past, live for today, and hope for tomorrow. As a therapist I strive to provide you, your child, and/or family quality service in order to help you achieve your goals in life. I will work with you in a way that builds on your strengths and potential, and challenges you to take your life to the next level. I believe the most productive therapy environment is one of mutual trust, respect, and collaboration. My approach is challenging and direct, yet compassionate and caring.
(402) 875-4665 View (402) 875-4665
Photo of Evan Carter, Drug & Alcohol Counselor in Sarpy County, NE
Evan Carter
Drug & Alcohol Counselor, PLADC, MS
Verified Verified
Papillion, NE 68046
Evan Carter is an experienced Provisionally Licensed Alcohol and Drug Counselor based in Papillion, NE, dedicated to offering compassionate and effective services to individuals seeking help for substance abuse issues. Evan holds a Master of Science degree in Justice Administration and Crime Management from Bellevue University, demonstrating his commitment to understanding the complexities of addiction and its impact on individuals and communities. He has also obtained a Chemical Dependency Counselor certificate from Metropolitan Community College, further enhancing his expertise in the field.
Evan Carter is an experienced Provisionally Licensed Alcohol and Drug Counselor based in Papillion, NE, dedicated to offering compassionate and effective services to individuals seeking help for substance abuse issues. Evan holds a Master of Science degree in Justice Administration and Crime Management from Bellevue University, demonstrating his commitment to understanding the complexities of addiction and its impact on individuals and communities. He has also obtained a Chemical Dependency Counselor certificate from Metropolitan Community College, further enhancing his expertise in the field.
(402) 242-5442 View (402) 242-5442
Photo of Dawn Marie Kay-Pearson, Counselor in Sarpy County, NE
Dawn Marie Kay-Pearson
Counselor, MS, LMHP, LADC
Verified Verified
Papillion, NE 68046
Are you feeling stressed or depressed? Perhaps you are struggling with a specific issue, feeling lost, or maybe you're feeling completely overwhelmed? Life can indeed be overwhelming. It sometimes diminishes our ability to see the solutions to the problems we are facing. There are many ways to deal with life's challenges. Sometimes the ways we choose to deal with them are unhealthy or counterproductive.
Are you feeling stressed or depressed? Perhaps you are struggling with a specific issue, feeling lost, or maybe you're feeling completely overwhelmed? Life can indeed be overwhelming. It sometimes diminishes our ability to see the solutions to the problems we are facing. There are many ways to deal with life's challenges. Sometimes the ways we choose to deal with them are unhealthy or counterproductive.
(402) 509-8299 View (402) 509-8299
Photo of Paige Breci, Counselor in Sarpy County, NE
Paige Breci
Counselor, PLMHP
Verified Verified
1 Endorsed
Bellevue, NE 68147  (Online Only)
Have you felt stuck and struggled with a loss of self? Are you looking to gain further insight into who you are and to why you do what you do? Do you feel as though fear controls your life? If you feel you could benefit from a collaborative approach to anxiety, personality disorders, and/or phobias, I am the right fit for you! All sessions are conducted through telehealth, so no need to leave the comfort of your home to receive compassionate care! How you feel is valid and who you are matters. If you are ready to invest in yourself, I’m ready to take that journey with you and empower you take back your life!
Have you felt stuck and struggled with a loss of self? Are you looking to gain further insight into who you are and to why you do what you do? Do you feel as though fear controls your life? If you feel you could benefit from a collaborative approach to anxiety, personality disorders, and/or phobias, I am the right fit for you! All sessions are conducted through telehealth, so no need to leave the comfort of your home to receive compassionate care! How you feel is valid and who you are matters. If you are ready to invest in yourself, I’m ready to take that journey with you and empower you take back your life!
(402) 940-7515 View (402) 940-7515
Photo of Laura L Christensen, Counselor in Sarpy County, NE
Laura L Christensen
Counselor, LIMHP, MS
Verified Verified
La Vista, NE 68128
I am a Licensed Mental Health Practitioner whose approach to therapy is individualized based on my clients' needs and personal background. I will establish a safe and secure therapeutic environment, free of judgement and pre-conceived notions. I strive to provide you with a therapeutic experience that is both genuine and provides unconditional acceptance to help gain your trust as I help you develop the skills needed to reach your goals and be successful in your therapeutic journey.
I am a Licensed Mental Health Practitioner whose approach to therapy is individualized based on my clients' needs and personal background. I will establish a safe and secure therapeutic environment, free of judgement and pre-conceived notions. I strive to provide you with a therapeutic experience that is both genuine and provides unconditional acceptance to help gain your trust as I help you develop the skills needed to reach your goals and be successful in your therapeutic journey.
(402) 382-9822 x127 View (402) 382-9822 x127
Photo of Kristen Treat Sanchez, Counselor in Sarpy County, NE
Kristen Treat Sanchez
Counselor, LIMHP, LIPC, CPC
Verified Verified
1 Endorsed
Papillion, NE 68046
You are hard wired for connection. No matter the story you learned during your ‘how to human’ lessons-your brain literally needs deep, meaningful connections with other humans. And by being on this page, you and I both know that something you have learned in your journey up until this point is now in contrast with some vital aspect of your life and you are experiencing conflict. And this thing, this person, this job, whatever it is, it motivates you enough to think that perhaps there really could be a different narrative. And that hope, inspires you to wonder what I, Kristen Sanchez, could do to help.
You are hard wired for connection. No matter the story you learned during your ‘how to human’ lessons-your brain literally needs deep, meaningful connections with other humans. And by being on this page, you and I both know that something you have learned in your journey up until this point is now in contrast with some vital aspect of your life and you are experiencing conflict. And this thing, this person, this job, whatever it is, it motivates you enough to think that perhaps there really could be a different narrative. And that hope, inspires you to wonder what I, Kristen Sanchez, could do to help.
(402) 513-3604 View (402) 513-3604
Photo of Valemara Counseling, Marriage & Family Therapist in Sarpy County, NE
Valemara Counseling
Marriage & Family Therapist, LIMHP, MFT
Verified Verified
Bellevue, NE 68005
Soy bilingüe! Y me gustaría poder ayudarte a alcanzar tus metas. Tengo experiencia extensa en diferentes areas de la salud mental y me especializo en areas relativas a la mujer y familias. Puedo ayudar a niños, adolescentes, adultos, y parejas. Contáctame para platicar contigo y puedas sentirte mejor.
Soy bilingüe! Y me gustaría poder ayudarte a alcanzar tus metas. Tengo experiencia extensa en diferentes areas de la salud mental y me especializo en areas relativas a la mujer y familias. Puedo ayudar a niños, adolescentes, adultos, y parejas. Contáctame para platicar contigo y puedas sentirte mejor.
(531) 233-3094 View (531) 233-3094
Photo of Carol Sheffield Counseling Services, LLC, Counselor in Sarpy County, NE
Carol Sheffield Counseling Services, LLC
Counselor, LIMHP
Verified Verified
4 Endorsed
Bellevue, NE 68005
Waitlist for new clients
I have approximately twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
I have approximately twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
(402) 241-5671 View (402) 241-5671
Photo of Charice Butler, LLC, Counselor in Sarpy County, NE
Charice Butler, LLC
Counselor, LIMHP
Verified Verified
2 Endorsed
Bellevue, NE 68005
Not accepting new clients
As a military veteran and active duty family member I recognize the unique stresses brought about by service to our country. I specialize in the treatment of trauma, depression, anxiety and a wide variety of mental health issues. I am trained in DBT, CBT and EMDR. You can find me in the Great Western Bank building in Bellevue on the corner of Galvin Rd and Harvel, just east of Hwy 75 if you use the Cornhusker Rd exit. Enter the building at the North entrance (the one closest to Galvin Rd).
As a military veteran and active duty family member I recognize the unique stresses brought about by service to our country. I specialize in the treatment of trauma, depression, anxiety and a wide variety of mental health issues. I am trained in DBT, CBT and EMDR. You can find me in the Great Western Bank building in Bellevue on the corner of Galvin Rd and Harvel, just east of Hwy 75 if you use the Cornhusker Rd exit. Enter the building at the North entrance (the one closest to Galvin Rd).
(531) 214-1534 View (531) 214-1534
Photo of Kc Begley, Counselor in Sarpy County, NE
Kc Begley
Counselor, MS , LIMHP, CPC
Verified Verified
Bellevue, NE 68123  (Online Only)
Whether you are dealing with anxiety, depression, trauma, or any other mental health challenge, I am here to support you on your journey towards healing and wholeness. Together, we can explore the deeper aspects of your being and tap into your inner wisdom and strength to create a life that is fulfilling, joyful, and meaningful.
Whether you are dealing with anxiety, depression, trauma, or any other mental health challenge, I am here to support you on your journey towards healing and wholeness. Together, we can explore the deeper aspects of your being and tap into your inner wisdom and strength to create a life that is fulfilling, joyful, and meaningful.
(531) 202-5314 View (531) 202-5314
Photo of Roger Sherman, Counselor in Sarpy County, NE
Roger Sherman
Counselor, MSW, LIMHP, PLADC
Verified Verified
Papillion, NE 68046
It is not about controlling your thoughts; it's about not letting your thoughts control you. I am a Counselor who tries to meet every person exactly where they are. I want to empower you to be the best you, to heal what needs healing and to encourage you to grow where you need to grow.
It is not about controlling your thoughts; it's about not letting your thoughts control you. I am a Counselor who tries to meet every person exactly where they are. I want to empower you to be the best you, to heal what needs healing and to encourage you to grow where you need to grow.
(531) 214-1767 View (531) 214-1767
Photo of Guillermo A Luna, Clinical Social Work/Therapist in Sarpy County, NE
Guillermo A Luna
Clinical Social Work/Therapist, PLMHP, PCMSW
Verified Verified
1 Endorsed
Bellevue, NE 68005
Maybe this is your first therapy experience, maybe it is not, but each journey is unique and that can lead to surprises. They can be both exciting and difficult. Using a trauma-informed lens I offer psychodynamic treatment designed to help you identify the root of your distress. Together we can explore the personal experiences that have formed unique connections and meanings for you, and how those impact your mood, behavior, and mental health. I specializing in working mainly with youth ages 10-18 years of age of diverse backgrounds.
Maybe this is your first therapy experience, maybe it is not, but each journey is unique and that can lead to surprises. They can be both exciting and difficult. Using a trauma-informed lens I offer psychodynamic treatment designed to help you identify the root of your distress. Together we can explore the personal experiences that have formed unique connections and meanings for you, and how those impact your mood, behavior, and mental health. I specializing in working mainly with youth ages 10-18 years of age of diverse backgrounds.
(402) 807-5117 View (402) 807-5117
Photo of Penny Cavender, Counselor in Sarpy County, NE
Penny Cavender
Counselor, MS, LMHP, LIMHP, NBCC, CPC
Verified Verified
Bellevue, NE 68147
I specialize working with children 12 and under. I am also a Certified Geriatric Counselor. I have spent many years working with trauma and crisis children using cognitive as well as play therapy skills. I am a Registered Play Therapist. I worked in Residential Treatment for three years and also worked for three years as the Social Services Coordinator for a nursing home.However I do work with adults as well. I do a parent training group to help parents have better relationshps with their children and help parents of Reactive Attachment Children to have more success with bonding and behaviors.
I specialize working with children 12 and under. I am also a Certified Geriatric Counselor. I have spent many years working with trauma and crisis children using cognitive as well as play therapy skills. I am a Registered Play Therapist. I worked in Residential Treatment for three years and also worked for three years as the Social Services Coordinator for a nursing home.However I do work with adults as well. I do a parent training group to help parents have better relationshps with their children and help parents of Reactive Attachment Children to have more success with bonding and behaviors.
(402) 522-6923 View (402) 522-6923
Photo of Brooklynn Prussing, Counselor in Sarpy County, NE
Brooklynn Prussing
Counselor, PLMHP
Verified Verified
Bellevue, NE 68005
I specialize in trauma, substance abuse, sexual addiction, and symptoms of pre and post partum. I use various modalities such as cognitive behavioral therapy, dialectical behavioral therapy, solution focused therapy, and narrative therapy to treat various symptoms.
I specialize in trauma, substance abuse, sexual addiction, and symptoms of pre and post partum. I use various modalities such as cognitive behavioral therapy, dialectical behavioral therapy, solution focused therapy, and narrative therapy to treat various symptoms.
(402) 741-6787 View (402) 741-6787
Photo of Candice Sortino in Sarpy County, NE
Candice Sortino
PLMHP
Verified Verified
1 Endorsed
Bellevue, NE 68005
My passion for helping others has led me on a journey of creating positive change for those who are looking to improve their lives. I have experience working with people seeking help for depression, anxiety, self-esteem, trauma, and various other mental health issues. I enjoy working with all populations and have experience with people who are LGBTQIA+ and BIPOC. Everyone deserves to be heard. My goal is to create a therapist-client relationship where the client has a safe and comfortable environment. Life can get to the point of feeling overwhelming but you are not alone!
My passion for helping others has led me on a journey of creating positive change for those who are looking to improve their lives. I have experience working with people seeking help for depression, anxiety, self-esteem, trauma, and various other mental health issues. I enjoy working with all populations and have experience with people who are LGBTQIA+ and BIPOC. Everyone deserves to be heard. My goal is to create a therapist-client relationship where the client has a safe and comfortable environment. Life can get to the point of feeling overwhelming but you are not alone!
(402) 534-1478 View (402) 534-1478

See more therapy options for Sarpy County

How does your Therapist compare?

Number of Therapists in Sarpy County, NE

200+

Average cost per session

$150

Therapists in Sarpy County, NE who prioritize treating:

96% Anxiety
91% Depression
82% Trauma and PTSD
82% Self Esteem
79% Relationship Issues
77% Coping Skills
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
69% Aetna

How Therapists in Sarpy County, NE see their clients

89% In Person and Online
11% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sarpy County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.